Rise

Workshop A: HCC Coding 201 – Leading and Implementing HCC Coding and Documentation Programs 

Additional Registration Required (additional fee). Two refreshment breaks and lunch is included with workshop registration.  

Join RISE for an in-depth managerial level workshop laying out best practices for an end-to-end method of aligning chart documentation, HCC code capture and audit-readiness at both the provider and health plan levels. There is finally an industry standard through the RISE Institute that shows the “how to” of setting up your department’s workflows, aligning with your provider networks, preparing for RADV audits, and more.     

Attendees will walk away with the tools and tactical know-how to:     

• Achieve plan -level program process, collaboration and continuous Improvement    

• Create a framework for provider office-based program and learn how to roll this out     

• Review clinical documentation evaluation in current systems    

• Get a handle on program development and implementation: creating compliant & quality coding    

Deb Curry, MBA, RHIA, CDIP, CCS-P, CRC 
Risk Adjustment Programs Director 
Medical Mutual 

Donna Malone, CPC, CRC, AHCCA, RAP, AAPC Approved Instructor, Director, Risk Capture  
Mass General Brigham  

Workshop B: Operational Excellence in Medicare Advantage Plan Management: From Silos to Strategy

Additional Registration Required (additional fee). Two refreshment breaks and lunch is included with workshop registration. 

Now expanded to a 6-hour deep-dive workshop. 

The margin for error in Medicare Advantage has never been smaller—and navigating today’s environment requires more than isolated excellence in departments like quality, risk adjustment, or operations. It requires strategic, cross-functional alignment grounded in shared understanding of how a health plan actually generates revenue, manages risk, and drives sustainable performance. 

In this extended session, we’ll guide participants through the foundational building blocks of health plan finance—from the bid, risk adjustment mechanics, and the Star Ratings program to the core financial levers that shape plan revenue and margin. 

Then, in the second half of the day, we’ll move from theory to execution—exploring how departments intersect, how to not just break down silos but shatter them for good, and how to build internal business cases that resonate across teams and levels. If you’ve ever struggled to get your initiative funded or wondered how decisions really get made at the enterprise level, this workshop is for you. 

Key Takeaways: 

• Gain a working knowledge of MA plan bids, Star Ratings, and risk adjustment—and how they drive revenue for Medicare Advantage health plans. 
• See where operational departments intersect and how their priorities connect to overall plan performance 
• Learn how to co-fund and co-own cross-functional initiatives that drive ROI 
• Build internal business cases using shared metrics and strategic framing 
• Improve collaboration by understanding the goals, language, and constraints of other departments 
• Leave with practical tools and frameworks to foster alignment across your organization 

This session is ideal for all entry levels across Stars, risk adjustment, operations, compliance, member experience, and finance. Come ready to connect, learn, and leave with a new lens on how to drive outcomes that matter—together. 

Jenn Kerfoot 
Chief Strategy and Growth Officer 
DUOS  

Additional speakers to be announced  

Workshop C: Lead from the Middle: Strengthening Supervision with Yale’s Proven Framework

Additional Registration Required (additional fee). A refreshment break and lunch is included with Workshop C registration. 

This interactive workshop introduces the Yale Model of Supervision — a nationally recognized framework designed to strengthen supervisory practice, enhance team performance, and improve service delivery across health and human service settings. Participants will explore practical tools and strategies to lead effectively from the middle, support staff development, and navigate change with confidence and clarity. 

• Enhance your ability to lead from the middle by effectively communicating up and down the organization during times of change or uncertainty 
• Practice using structured tools such as Supervision Agreements and problem-solving frameworks to improve clarity and accountability 
• Develop skills to build trust, resilience, and emotional support in supervisory relationships — especially during high-stress periods 
• Leave with actionable strategies to foster staff engagement, improve outcomes, and elevate your impact as a supervisor 

Scott Migdole, MSW, LCSW 
Chief Operating Officer 
Yale Behavioral Health & 
Yale Program on Supervision 
Assistant Clinical Professor 
Department of Psychiatry 
Yale University School of Medicine 

Women’s Leadership Luncheon & Panel Discussion

Additional Registration Required – Free to attend. Lunch will be provided for registered attendees.  

Panel - Steady in the Storm: Resilient Leadership Amid Health Care Shifts 
Join RISE for an interactive panel discussion and networking opportunity with women leaders.  

Attendees will:  

• Gain actionable tools to stay calm, communicate clearly, and lead confidently during periods of uncertainty, policy shifts, or organizational change 
• Discuss mindset shifts and self-leadership practices that help you maintain focus, energy, and purpose — even when the system is in flux 
• Examine how to pivot effectively in your career or organization by recognizing inflection points, engaging stakeholders, and staying aligned with your values 

Moderator: 
To be announced  

Panelists:  
Shannon Wilson, DrPH 
Vice President of Population Health and Health Equity 
Priority Health 

Invited panelists include: 
Christi A. Grimm  
Former Deputy Inspector General  
OIG  
Department of Health and Human Service 

Sarah Lechner  
SVP, Chief of External Affairs 
Hackensack Meridian Health 

Food Packing Event in Partnership with U.S. Hunger

Additional Registration Required – Free to attend. 

Opening Remarks

Opening Keynote - The Power of the Pivot: Navigating Change with Purpose and Clarity

Healthcare is constantly evolving. Scientific breakthroughs, regulatory shifts, technological advancements and shifting business priorities create a climate of both excitement and uncertainty. In this unpredictable environment, the ability to navigate change isn't just a skill, it's a necessity. For those who do it well, change is a path to opportunity. 

Dr. Archelle Georgiou – a nationally recognized physician, healthcare journalist, and consumer advocate – brings a unique lens to the art and science of navigating through uncertainty. From leading healthcare innovation in corporate boardrooms to co-founding a national COVID-19 data initiative, and transitioning across roles in media, medicine, and technology, Dr. Georgiou has pivoted with intention and impact.  

In this opening keynote, Dr. Georgiou draws on her multifaceted career—spanning clinical practice, executive leadership, strategic consulting, and national media—to offer a practical framework for embracing change, defining purpose, and making values-driven decisions. Whether you’re leading organizational transformation or charting a new personal path, you’ll leave this session empowered to lead through change with clarity and conviction. 

Dr. Archelle Georgiou, M.D.  
C-Suite Leader, Advisor, Media Personality, Patient Advocate 

Patient Voices: Insights on Care, Coverage and What Matters Most

Presented in Partnership with the Camden Coalition  

This unique panel brings together patients and caregivers to share their personal journeys, what’s working, what’s not, and where there’s opportunity for improvement. 

This candid conversation offers valuable insights for health plans, providers, and innovators committed to improving the member experience. Walk away with firsthand perspectives and actionable takeaways to better serve the Medicare population.  

Panelists discuss: 

• Their experiences navigating health plans and provider networks 
• Access to care, communication challenges, and care coordination 
• What trust and quality mean from a patient’s perspective 
• Suggestions for how payers and providers can better support community health 

Moderator:  
Dr. Archelle Georgiou, M.D.  
C-Suite Leader, Advisor, Media Personality, Patient Advocate  

Panelists:  
Dionne L. Stalling 
Patient Advocate 
Founder, Executive Director,  
Rare and Black  

Alan Coker 
Patient Advocate, Advisory Member to Various Organizations  
Board Member 
Advocacy Unlimited and Amplify of CT 

Laura Carroll  
Rural Storyteller, Social Drivers of Health Champion, Patient Advisor 

Closing Remarks

Exhibit Hall Opening & Welcome Cocktail Reception

Join us for drinks, hors d'oeuvres, lively networking, and fun in the Exhibit Hall to kick off RISE West!